मानसिक स्वास्थ्य नर्सिङ – Mental Health Nursing MCQ
मानसिक स्वास्थ्य नर्सिङ – अन्तर्राष्ट्रिय नर्सिङ
Mental Health Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४०७ प्रश्न
४०७ प्रश्न उपलब्ध। मोड छान्नुहोस्:
मानसिक स्वास्थ्य नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
-
A client with anxiety disorder reports experiencing intrusive, unwanted thoughts about harming their child. This indicates:
सही उत्तर: ख) Post-Traumatic Stress Disorder (PTSD).
The description aligns most closely with PTSD. Intrusive, unwanted thoughts related to traumatic events are a core symptom of PTSD. OCD involves repetitive behaviors and obsessions focused on contamination or order; panic disorder is characterized by sudden anxiety attacks; GAD relates to excessive worry about various things.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with bipolar disorder presents in an elevated mood, expressing grand ideas and increased energy. The nurse should primarily focus on:
सही उत्तर: ग) Monitoring the client closely for signs of mania or psychosis.
The correct answer is ‘Monitoring the client closely for signs of mania or psychosis.’. During manic episodes, risk assessment and observation are key to preventing harm to the client or others. Option 1 could exacerbate the episode; option 3 requires diligent monitoring; while lithium is often used, it's a secondary action dependent on careful observation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client experiencing acute psychosis expresses delusional beliefs about being followed by government agents. The nurse’s response should focus on:
सही उत्तर: ग) Validate the client’s feelings of fear and anxiety while gently attempting reality orientation.
The correct response is ‘Validate the client’s feelings of fear and anxiety while gently attempting reality orientation.’. Directly challenging delusions can exacerbate distress, and allowing uninterrupted expression may strengthen beliefs. Option 1 is confrontational and usually ineffective; option 3 provides a therapeutic approach, and documenting verbatim is important but doesn't directly address the immediate need for rapport.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with severe depression presents with significant anergia (lack of motivation) and difficulty engaging in daily activities. Which intervention would be MOST appropriate to address this symptom?
सही उत्तर: ग) Collaborate with the patient to identify small, achievable steps towards regaining independence.
Option 2 is incorrect as stimulants can worsen anxiety. Option 3 aligns with behavioral activation which has evidence of effectiveness for anergia. Option 1 presents unrealistic goals and could be demoralizing. Physical exercise, while beneficial, isn't the immediate priority for addressing severe anergia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with bipolar disorder presents in the midst of a manic episode characterized by racing thoughts, pressured speech, inflated self-esteem, and impulsivity. Which environmental setting is MOST crucial to maintain during this phase? a) A quiet, dimly lit room conducive to rest. b) A stimulating environment with opportunities for social interaction and creative expression. c) A structured, predictable environment with clear boundaries and limited stimulation. d) An open space allowing for unrestricted movement and physical activity.
सही उत्तर: घ) d
The correct answer is (c). During a manic episode, the client requires a highly structured and controlled environment to minimize impulsive behaviors and prevent escalation. Options (a), (b) and (d) could potentially exacerbate the manic state.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient recently admitted to an inpatient mental health unit expresses feelings of emptiness and detachment from reality, reporting that nothing seems important or worthwhile. The nurse recognizes this as a potential symptom of which condition? a) Post-Traumatic Stress Disorder (PTSD). b) Major Depressive Disorder. c) Borderline Personality Disorder. d) Obsessive Compulsive Disorder (OCD)
सही उत्तर: ख) b
The correct answer is (b). The described symptoms – emptiness, detachment, lack of motivation - are classic signs of a major depressive episode. Options (a), (c) and (d) have different core presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with severe anxiety is exhibiting restlessness, pacing, and difficulty concentrating. Which of the following interventions would be MOST effective in promoting relaxation and reducing these symptoms? a) Encouraging the patient to engage in vigorous physical exercise. b) Providing a quiet environment with dim lighting and calming music, alongside deep breathing exercises and progressive muscle relaxation techniques. c) Offering the patient a caffeinated beverage to increase alertness and focus. d) Implementing a structured schedule of activities to provide a sense of routine.
सही उत्तर: ख) b
The correct answer is (b). Creating a calming environment combined with relaxation techniques directly addresses the physiological symptoms of anxiety. Options (a), (c) and (d) could potentially exacerbate anxiety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with schizophrenia is demonstrating disorganized thought processes, evident in tangential speech. Which nursing action best demonstrates an understanding of this presentation?
सही उत्तर: ख) Maintain a neutral and calm demeanor while allowing the client to express their thoughts.
Option 1 is incorrect because attempting to control thought processes can be distressing. Option 2 is correct because maintaining a calm environment and allowing free expression is crucial. Options 3 and 4 are inappropriate for disorganized thinking.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with bipolar disorder presents with racing thoughts, increased energy, and pressured speech. The nurse recognizes this as a manic episode. Which nursing intervention is MOST crucial in the initial management of this client?
सही उत्तर: घ) Administer an antipsychotic medication as prescribed.
Option 3 is correct because preventing impulsive actions during a manic episode is paramount. Option 1 is not effective for managing mania. Option 2 is important, but secondary to immediate safety concerns. Option 4 relies on medication alone and doesn’t address the behavioral aspects of the episode
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with schizophrenia is expressing paranoid delusions related to perceived threats from neighbors. Which nursing intervention demonstrates the most appropriate response?
सही उत्तर: क) Administer the prescribed antipsychotic medication immediately.
Option 0 is correct because challenging delusional beliefs directly can escalate distress. Option 1 is incorrect as it's confrontational and potentially harmful. Option 2 is partially correct but doesn’t address the core issue of managing the client’s distress, while option 3 focuses on a supportive environment which is important but not the primary intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।